Wise Fool Tuition Assistance/Payment Plan Application
Please use this form to apply for tuition assistance or payment plan for Wise Fool's adult classes!
Sign in to Google to save your progress. Learn more
Participant's Name *
Phone Number *
Email Address *
Are you applying for a (check all that apply) *
Required
What class/program are you hoping to attend? *
What is your annual income? *
How many people do you support with your income? *
Do you receive financial assistance from any unearned source (i.e. parents, trust fund, etc.)? If so, how much do you receive on a monthly basis? *
What is your age?
Please describe a bit about how you identify (i.e. ethnicity/culture/race, gender identity, sexual orientation):
We ask this question because we prioritize people of color and queer/trans/gender nonconforming folk for our scholarships.
Are there specific circumstances that make it difficult to pay for the program? (i.e. illnesses, unexpected expenses)
Please tell us a little bit about why you want to participate in the program.
If you are applying for a scholarship, what portion of the program fee are you able to pay? (use the diagram below to help you figure out what you might be able to pay based on your annual income)
If you are applying for a payment plan, please describe how you would like to make your payment.
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy